Individual provider Active NPI

Janna Mendenhall, O.D.

  • Optometrist
  • Natick, MA
National Provider Identifier
1295819035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4337 Issued in MA
Practice address
1245 Worcester St
Sehgal Eye Associates
Natick, MA 01760-1515
Phone
(508) 653-0919
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4337 MA Primary
Optometrist 152W00000X 1279 AZ
Optometrist 152W00000X 685 DC
Optometrist 152W00000X 0618000196 VA

Addresses

Primary practice location

1245 Worcester St
Sehgal Eye Associates
Natick, MA 01760-1515

Mailing address

23 Temple Ter
Bedford, MA 01730-1215
Phone (781) 275-0543

Other names 1

  • Janna Hamann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120507000164 MA Practitioner - Optometry 2264328111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4337MAMDMental Health Counselor
685DCMDClinical Psychologist
0618000196VAMDOptometrist
1279AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Exeter Eye Associates, LLC Optometrist CurrentSince Sep 2, 2017 Accepting new patients
Rsa Optical LLC Optometrist Past Accepting new patients
Sehgal Eye Associates Optometrist Past Accepting new patients

Locations

37 Newbury St
Boston, MA 02116
Phone (617) 437-1070

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295819035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TEMPLE TER",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301215",
            "telephone_number": "781-275-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WORCESTER ST",
            "address_2": "SEHGAL EYE ASSOCIATES",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601515",
            "telephone_number": "508-653-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "JANNA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4337",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1279",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "685",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANNA",
            "last_name": "HAMANN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.